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General NPI Number Information
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NPI Number | 1609106558
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Entity Type | Organization
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Legal Business Name | MARJORIE A. ARNI LLC
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 308 MAIN ST LAKEVILLE
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City | LAKEVILLE
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State | CT
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Zip | 06039-1204
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Country | US
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Telephone | 860-671-9277
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Fax | 860-364-5718
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Provider Business Mailing Address
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Address Line | PO BOX 682
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City | SHARON
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State | CT
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Zip | 06069-0682
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Country | US
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Telephone | 860-671-9277
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Fax | 860-364-5718
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Authorized Official
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Title or Position | APRN
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Name | MS. MARJORIE A. ARNI
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Credential | MS. MA.
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Telephone | 860-671-9277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 001382
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License Number State | CT
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